Surgical Removal of Infected Transvenous Pacemaker Leads

ROSEMARY FRAME, RICHARD F. BRODMAN, SEYMOUR EURMAN, CAROLYN A. ANDREWS, JAY N. GROSS

Research output: Contribution to journalArticle

72 Scopus citations

Abstract

Infection, though uncommon, can be the most lethal of all potential complications following transvenous pacemaker implantation. Eradication of infection associated with pacemakers requires complete removal of all hardware, including inactive leads. Since 1972, 5,089 patients have had 8,508 pacemaker generators implanted at Montefiore Medical Center. There were 91 infections (1.06%); four of our patients required surgical removal. Nine additional patients were referred for surgical removal of infected transvenous pacemaker leads from other institutions. Surgical methods for removal included use of cardiopulmonary bypass or inflow occlusion. Surgery may be safely used in unstable or elderly patients and should not be reserved as a last resort. This article reviews our surgical experience removing infected pacemaker leads at Montefiore Medical Center.

Original languageEnglish (US)
Pages (from-to)2343-2348
Number of pages6
JournalPacing and Clinical Electrophysiology
Volume16
Issue number12
DOIs
Publication statusPublished - Dec 1993

    Fingerprint

Keywords

  • infected pacemaker leads
  • surgical removal

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this